Acupressure Versus Ischemic Release in Non-specific Neck Pain (Manual)
Manual Therapy, Neck Pain
About this trial
This is an interventional treatment trial for Manual Therapy focused on measuring Acupressure; Ischemic Compression Release; Neck Pain.
Eligibility Criteria
Inclusion Criteria:
- All participants have nonspecific NP for a period of >3 months
- All participants are presented with at least one active MTrP at the upper trapezius muscle, -
- All participants had not used any medications or physiotherapy to alleviate pain were included in this study.
Exclusion Criteria:
Participants who met these criteria had been excluded:
- NP due to trauma, whiplash, cervical disc prolapse, inflammation, malignant disease, or any other neurological and orthopedic conditions, which will affect the assessment.
- Congenital malformation of the spine as it will alter the normal pattern of movements.
- Had any invasive therapies in the past month.
- Patients with sensory impairments, such as diabetic sensory neuropathy.
- Mental disorders.
Sites / Locations
- Soheir
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Acupressure of classical acupoints
Ischemic compression release of myofascial trigger points
Acupressure is applied on four acupoints: Pressure was applied to large intestine 10 (LI10) (large intestine meridians): It is located on the dorsal radial side of the forearm, 2 Cun below the transverse cubital crease. Hegu (large intestine meridians, LI 4): It is in the middle of the 2nd metacarpal bone on the radial side. TE5 (Triple energizer): It is located 2 cun proximal to the dorsal wrist crease between the radius and the ulna. SI3 (small intestine meridians): It is located at the ulnar end of the distal palmar crease proximal to the 5th metacarpal phalangeal joint. These acupoints are commonly used in the treatment of cervical myofascial pain syndrome.
Ischemic compression was gradually applied pressure to the trigger point with your thumb. The patient will likely feel referred pain in a question mark pattern (along the back of the neck, around the side of the head, and then a focused pain right behind the eye). Keep in communication with the patient, checking to ensure that in staying within the limits of his pain tolerance. Hold this technique for approximately 20 seconds to 1 minute, patient tells you that pain has diminished, or until feels the muscle fibers begin to relax under your pressure. Once feel this release, gradually release pressure. All identified trigger points will be treated. Then apply a few effleurage strokes to flush out the area and follow up with a passive stretch to the muscle.